International journal of gynaecology and obstetrics : the official organ of the International Federation of Gynaecology and Obstetrics
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Int J Gynaecol Obstet · Jun 2006
Randomized Controlled Trial Comparative StudyDrape estimation vs. visual assessment for estimating postpartum hemorrhage.
To compare (1) visual estimation of postpartum blood loss with estimation using a specifically designed blood collection drape and (2) the drape estimate with a measurement of blood loss by photospectrometry. ⋯ Drape estimation of blood loss is more accurate than visual estimation and may have particular utility in the developing world. Prompt detection of postpartum hemorrhage may reduce maternal morbidity and mortality in low-resource settings.
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Int J Gynaecol Obstet · Jun 2006
Comparative StudyLaparoscopic-assisted vaginal hysterectomy versus abdominal hysterectomy in endometrial cancer.
To see whether laparoscopy provides exact staging and effective treatment of endometrial cancer patients, compared with total abdominal hysterectomy, with shorter hospital stay, prompter recovery, and better quality of life. ⋯ These findings suggest LAVH gives correct staging of endometrial disease, like TAH, but with fewer complications and a slightly longer operating time.
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Int J Gynaecol Obstet · Jun 2006
Comparative StudyDelivery of the posterior arm reduces shoulder dimensions in shoulder dystocia.
To evaluate a possible reduction in shoulder diameter and circumference by extending the posterior arm during delivery, for an easier birth in cases of shoulder dystocia. ⋯ In cases of shoulder dystocia, delivery of the posterior arm should significantly reduce shoulder dimensions, especially in larger fetuses, and prevent a need for excessive traction.
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Int J Gynaecol Obstet · Jun 2006
Randomized Controlled TrialUterine massage and postpartum blood loss.